Individual provider Active NPI

Marsha Schwartz Klein, LPC, CCMHC, CACD

  • Specialist
  • Philadelphia, PA
National Provider Identifier
1790902476
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LPC 000412 Issued in PA
Practice address
1616 Walnut St
Suite 1816
Philadelphia, PA 19103-5313
Phone
(267) 479-0423
Fax
(267) 479-0424
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LPC 000412 PA Primary

Addresses

Primary practice location

1616 Walnut St
Suite 1816
Philadelphia, PA 19103-5313

Mailing address

2301 Cherry Street
8A
Philadelphia, PA 19103-1042
Phone (215) 530-3801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC 000412PAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1790902476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CHERRY STREET",
            "address_2": "8A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031042",
            "telephone_number": "215-530-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WALNUT ST",
            "address_2": "SUITE 1816",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035313",
            "telephone_number": "267-479-0423",
            "fax_number": "267-479-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MARSHA",
        "middle_name": "SCHWARTZ",
        "credential": "LPC, CCMHC, CACD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "LPC 000412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.